NPI | 1295832673 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID MILLER O PT Ician 601-428-0999 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2020-08-22 |